TABLE 2.
Variable | Remission* (%) | P † | Relapse (%) |
---|---|---|---|
| |||
Response to first treatment | 47/115 (41) | - | 5/47 (11) |
Standard | 47/114 (41) | ||
Vigabatrin | 10/52 (19) | ||
ACTH | 21/32 (66) | 3‡/21 (14) | |
Prednisolone | 16/30 (53) | 2§/16 (13) | |
Nonstandard | 0/1 (0) | ||
Levetiracetam | 0/1 (0) | ||
Response to second treatment | 25/62 (40) | 0.004 | 4/25 (16) |
Standard | 23/44 (52) | ||
Vigabatrin | 10/22 (45) | 2║/10 (20) | |
ACTH | 3/5 (60) | ||
Prednisolone | 10/17 (59) | 2¶/10 (20) | |
Nonstandard | 2/18 (11) | 0 | |
Levetiracetam | 0/1 | ||
Clobazam | 1/9 (11) | 0 | |
Zonisamide | 1/5 (20) | 0 | |
Topiramate | 0/2 | ||
Oxcarbazepine | 0/1 | ||
Response to third treatment | 5/33 (15) | 0.008 | 1/5 (20) |
Standard | 5/14 (36) | ||
Vigabatrin | 0/2 (0) | ||
ACTH | 2/5 (40) | ||
Prednisolone | 2/6 (33) | 1#/2 (50) | |
Surgery | 1/1 (100) | ||
Nonstandard | 0/19 (0) | ||
Zonisamide | 0/6 | ||
Clobazam | 0/4 | ||
Ketogenic diet | 0/4 | ||
Cannabidiol | 0/3 | ||
Topiramate | 0/2 |
Abbreviation:
ACTH = Adrenocorticotropic hormone
Values are N (row %)
Clinical remission beginning within two weeks of starting treatment and persisting for a minimum of 28 days plus electrographic remission.
Difference in remission between standard and nonstandard therapies tested using chi-square tests (Fisher’s exact test used if any group had fewer than five remissions).
After relapse, remission by three months with epilepsy surgery (1), prednisolone (1), or vigabatrin (1).
Both with remission at three months but later relapsed without subsequent remission.
One with three-month remission and one without, both without subsequent remission.
Both with remission at three months but later relapsed without subsequent remission.
Remission at three months but later relapse without subsequent remission.